Yu Zhen San - 玉真散 - True Jade Powder

English:	True Jade Powder
Also Known As:	Powder for Tetanus

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Typhonii*	Bai Fu Zi	6-30g	Dries Dampness, transforms Phlegm, expels Wind and stops spasms. With Zhi Tian Nan Xi, Fang Feng and Tian Ma, for tetanus, muscle spasms and stiffness of the neck and opisthotonis with clenched jaws.
Rz. Arisaematis*	Zhi Tian Nan Xing	6-30g	Disperses Wind-Phlegm in the channels, stops spasms and alleviates pain. With Fang Feng, Bai Zhi and Tian Ma, for muscular tetany with lockjaw and opisthotonis.
Rz. seu Rx. Notopterygii	Qiang Huo	6-30g	Expels Wind-Cold-Dampness, unblocks painful obstruction and alleviates pain. With Fang Feng, for Wind-Dampness.
Rx. Angelicae Dahuricae	Bai Zhi	6-30g	Alleviates pain, Dispels Cold, Eliminates Dampness, Expels Wind.
Rx. Saposhnikoviae	Fang Feng	6-30g	Expels Internal Wind, stops spasms and Alleviates pain. With Tian Nan Xing, for headache, generalized body aches and numbness due to Wind-Phlegm Obstructing the channels. With Tian Nan Xing, Tian Ma and Bai Fu Zi, for opisthotonis, trismus, spasms and convulsions due to Liver Wind.
Rz. Gastrodiae	Tian Ma	6-30g	Extinguishes Wind, calms the Liver, stops spasms and tremors, subdues Rising Liver Yang and alleviates pain. With Tian Nan Xing and Bai Fu Zi, for tetany and opisthotonis.

Formula Actions

• Dispels Wind
• Transforms Phlegm
• Relieves muscular tetany
• Stops convulsions
• Alleviates pain

Syndromes

• Toxic Wind-Heat due to incised wounds
• Wind-Phlegm (Feng Tan)
• Invasion of Wind and Toxin through a wound or sore (Secondary source)

Clinical Manifestations

Stiffness and spasms of the jaw Stiff and tense neck and jaw Spasms of the extremities Mouth closed Lip spasms Dizziness Insomnia

Vomiting Deviation of the eyes Rigidity of the entire body Opisthotonis Trismus T: Normal C: Thin and white or Greasy and white P: Tight and wiry

Treats

Neurotoxic clostridial diseases Tetanus Botulism Post-traumatic pain Trismus Insomnia Rabies

Kyphosis Facial paralysis Chorea External ulcerations Dizziness Vomiting Neck stiffness

Contraindications And Herb/Drug Interactions

Notes

• Grind the ingredients into a powder and take in 3g doses with hot wine.
• The powder may be mixed with grain-based liquor and applied topically to the affected area.
• For kyphosis, administer 9g mixed with Infantis Urina Tong Bian.
• For dog bites, wash the affected area with clean water and apply to the affected area.

Modifications

For a stronger Wind-dispelling action and to stop spasms:		For symptoms associated with tetanus, severe convulsions and kyphosis:
Prepare as a decoction.		+ Scorpio	Quan Xie
+ Periostracum Cicadae	Chan Tui	+ Scolopendra	Wu Gong
+ Hb. Schizonepetae	Jing Jie	+ Bombyx Batryticatus	Jiang Can
For facial paralysis:		For facial paralysis with Qi Deficiency:
- Rz. Arisaematis	Tian Nan Xing	- Rz. Arisaematis	Tian Nan Xing
+ 15g Arisaema cum Bile	Dan Nan Xing	+ 15g Arisaema cum Bile	Dan Nan Xing
For facial paralysis with Wind and Phlegm Blocking the channels and collaterals:
+ 50g Rx. Astragali	Huang Qi
- Rz. Arisaematis	Tian Nan Xing	For chorea:
+ 15g Arisaema cum Bile	Dan Nan Xing	+ Eight Treasures Decoction Ba Zhen Tang
+ 15g Scorpio	Quan Xie
+ 15g Bombyx Batryticatus	Jiang Can	- Rx. Rehmanniae Preparata	Shu Di Huang
For a stiff neck:		+ 20g Ram. Uncariae cum Uncis	Gou Teng
+ 9g Bombyx Batryticatus	Jiang Can
+ 30g Rx. Astragali	Huang Qi
+ 3g Scorpio	Quan Xie
+ 3g Scolopendra	Wu Gong